編輯的話：疲潰與身心適應

Editorial Remarks: Burnout and Physical-Psychological Adjustment

10.6847/TJPMHN.202106_16(1).00

楊秋月(Chiu-Yueh Yang)

精神衛生護理雜誌

16卷1期（2021 / 06 / 01）

2 - 3

繁體中文;英文

在新冠肺炎疫情流行期間，不論是哪一科的醫療人員都無法輕忽，即使是精神科醫護人員，也都是繃緊神經進行護理評估，擔心我們的病患確診，畢竟嚴重精神病人一旦確診COVID-19，相較於一般族群有較高的死亡風險或是不利的結果（Barcella et al., inpress），行政專案著重在各方面的預防感染措施，減少精神科病房呼吸道感染的發生率（李等，2021），在新冠肺炎疫情威脅下，此議題顯得格外重要。性健康在身心適應中扮演重要角色，而性健康受很多因素的影響，從性行為、態度和社會因素到生物性風險和遺傳都有可能，而精神病人由於疾病與藥物的影響，性功能障礙風險也隨之增加（Souaiby et al.,2020）；精神衛生護理人員的知識狀態影響著精神病人的健康照顧，黃等（2021）的研究顯示精神衛生護理人員性健康照護知識不到八成。李、蔡（2021）比較軍職服役與義務役的憂鬱症狀、衝動控制與復原力的差異，結果顯示軍職服役組憂鬱症狀、衝動控制均較義務役者高，而義務役組的復原力得分顯著高於軍職服役組，顯示軍職軍人的身心適應需要更多關注。疲潰是一個情緒、生理、與心理的耗竭狀態，起因於過度且長期的壓力；護理工作是屬於容易疲潰的工作性質，我們需要對疲潰有更深的了解。洪等（2021）依據Walkerand Avant進行疲潰的概念分析，闡述疲潰定義性特徵，透過列舉典型案例、邊緣案例、相關案例及相反案例，以釐清疲潰概念。同時探討護理人員工作疲潰的發生因子與後果，並提出常用之工作疲潰量表。本期還有專欄為周桂如理事長與吳曉明老師合作的台灣社區精神衛生居家照護的需求與發展契機，提供讀者對於精神衛生居家照護更深入的了解與知識，均值得精神衛生護理人員閱讀並收藏。

During the pandemic of Coronavirus Disease 2019 (COVID-19), health professional in each department must not overlook the severity of the pandemic. The health professional of the psychiatry department must also be fully attentive in providing nursing care and evaluation and be concerned if the patient is diagnosed with COVID-19. Once patients with severe mental illness becomes confirmed cases with COVID-19, they have higher risk of mortality or experiencing adverse outcomes compared with general populations (Barcella et al., in press). Administrative projects have focused on various aspects of infection prevention measures to reduce the incidence of respiratory tract infection in psychiatric wards (Li et al., 2021). Under the threat of COVID-19, addressing the infection issue is essential. Sexual health plays a critical role in physical and psychological adjustment. However, sexual health is susceptible to many factors, including sexual behavior, attitude, social factors, biological hazard, and heredity. Patients with mental illness under the influences of disease and drugs have increased risks of sexual dysfunction (Souaiby et al., 2020). Knowledge of health professional of the psychiatry department affects health care of patients with mental disorder. Huang et al., (2021) reported that health professional of the psychiatry department reached lower than 80% of sexual health care knowledge. Li and Tsai (2021) compared the depressive symptoms, impulse control, and resilience of voluntary and obligatory military servicemen. The results revealed that the depressive symptom and impulse control of voluntary military servicemen group were higher than those of the obligatory military servicemen group. The resilience score of the obligatory military servicemen group was significantly higher than that of the voluntary military servicemen group, indicating that volunteer solders' physical and psychological adjustment require more attention. Burnout is a status of emotional, physical, and psychological exhaustion resulting from excessive long-term stress. The nursing profession is characterized with high likelihood of burnout. We need to gain in-depth understanding of burnout. Hung et al. (2021) concepts analysis of burnout according to a study by Walker and Avant and explained the defining characteristics of burnout. By listing typical cases, borderline cases, relevant cases, and contrary cases, they clarified the concept of burnout. In addition, the causes and effects of occupational burnout of nurses were explored, and a commonly used work burnout inventory was proposed. The current issue of column provides the needs and development opportunities of Taiwanese community psychiatric health home care promoted by the joint effort of chairperson Kuei-Ru Chou and assistant professor Sheau-Ming Wu. The column enables the readers to gain in-depth understanding and knowledge of psychiatric health home care and deserves to be read and collected by psychiatric health professional